Nicole Caterina Labazzetta

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CSW.09930897 Issued in CO

Practice address

3225 Independence Rd
Canon City, CO 81212-9380

Phone

(719) 275-2351

Fax

(719) 269-9386

NPI assigned

Sep 17, 2024

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2022

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

West Central Mental Health Center, IncGroup PAC ID 0042102733, 16 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• West Central Mental Health Center, Inc.

  • Community/Behavioral Health Agency
  • Canon City, CO
  • NPI 1265565824
  Medicare reassignment Care Compare group NPD
• West Central Mental Health Center Inc.

  • Community/Behavioral Health Agency
  • Canon City, CO
  • NPI 1780432930
  NPD
• West Central Mental Health Center, Inc.

  • Community/Behavioral Health Agency
  • Canon City, CO
  • NPI 1609624774
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1726531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734048000000",
    "number": "1922835602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3225 INDEPENDENCE RD",
            "city": "CANON CITY",
            "state": "CO",
            "postal_code": "812129380",
            "telephone_number": "719-275-2351",
            "fax_number": "719-269-2351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3225 INDEPENDENCE RD",
            "city": "CANON CITY",
            "state": "CO",
            "postal_code": "812129380",
            "telephone_number": "719-275-2351",
            "fax_number": "719-269-9386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LABAZZETTA",
        "first_name": "NICOLE",
        "middle_name": "CATERINA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-17",
        "last_updated": "2024-12-13",
        "certification_date": "2024-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "CSW.09930897",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen R Kopacz, NP
• Janet Louise Krein, PA-C
• Betty Ann Krenson, FNP
• Terry James Krow, LCSW,CACIII
• Laura Elizabeth Kushner, PA-C
• Daniel Lake, MA
• Heidi Lammert, LCSW, LAC
• Tabitha Marie Lane, PA
• James Lantzy, LSW
• Karina Lantzy, LCSW

• Clinical Social Worker in Canon City, CO
• Providers in Canon City, CO by specialty
• Clinical Social Worker in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.